National Harm Reduction Coalition creates spaces for dialogue and action that help heal the harms caused by racialized drug policies.

“I believe that over the next decade, harm reduction will become even more ubiquitous, and harm reduction education and services will become more ambient across systems. The co-evolution of the harm reduction movement and other adjacent movements will coalesce. This will be made possible by the development of a new ever-growing National Harm Reduction Coalition membership network of connected providers.”

Dr. Orisha Bowers (she/her)

Executive Director

We Work for the Harm Reduction Movement.

National Harm Reduction Coalition builds evidence-based
strategies with and for people who use drugs.

We’re fueled by a commitment to bring these solutions to scale. Here’s what that looks like:

Build the harm

reduction movement

Infuse harm

reduction with

racial justice

End the overdose


Expand syringe

access to all 50 states

Be a Catalyst for Love, Justice, Community and Connection.

Together, we can create a world healing from harms, free from judgement and built on equity.

End the Overdose Crisis

We have the tools to prevent fatal overdose deaths. National Harm Reduction Coalition ensures more communities have access to these tools.

Over 100,000 people died from drug overdose last year. The work of the Harm Reduction movement is a matter of life and death.

Learn more about our overdose prevention efforts.

“This is about people who use drugs saving each other. If your community is wondering what you can do to reduce overdose, get naloxone into the hands of people who use drugs.”

Kristen Marshall (she/her)

photo of a man with a walker outside of a building with a sign that reads, "6th Street Syringe Access Services, Needle Exchange."
Credit: Holly Bradford

Expand Syringe Access

When people who inject drugs lack access to safe supplies, they can be exposed to unnecessary risk of contracting infectious diseases like HIV and hepatitis C.

Syringe access programs reduce this risk by as much as 50%. And they offer a place to connect with other resources like housing, health care, and drug treatment.

We’re launching a national syringe access campaign to mobilize communities to ensure syringe access in all 50 states.

What does syringe access look like in your state?

Learn how you can help.

Building Programs, Building
Power – Together

We build stronger harm reduction programs through training, technical assistance, and grant-making.

It takes millions of people working together to create cultural change. We deliver thousands of hours of training each year to help hundreds of organizations learn and implement harm reduction practices.

Connect with us for training

Through advocacy and action, we seek to change policies that place people who use drugs in harm’s way.

Learn more about our policy & advocacy work.

We build power with local leaders to create supportive environments for harm reduction to thrive in their communities.

Join Us in San Juan, PR from October 13-16, 2022!

The National Harm Reduction Conference is biennial and is the largest harm reduction conference in the world. For four days, some of the most creative minds from the U.S. and abroad come together to address a myriad of complex issues facing the harm reduction movement.

Don’t miss it!

Two people hugging during a conference
Credit: Nigel Brunsdon

Meet the Harm Reduction Community

The power of our community is greater than the sum of our parts. Our creativity, power, knowledge, and lived experience is vast. And we hold a shared vision of a world rallying together and healing itself from harm.

Get to know the people of the harm reduction movement.